Student Ministry Leader Application

Thank you for your interest in joining our team and for taking the time to share with us about you. We want you to know that the following information will be confidential and only shared with appropriate pastoral staff as necessary.

Name
*

First Name Middle Name Last Name

Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

E-mail:
*

Cell Number
*

-
Area Code Phone Number

Daytime Number
*

-
Area Code Phone Number

Birthday 00/00/00
*

Occupation
*

Employer

Family Information

Marital Status
*

Single Married Divorced

Name of Spouse:

Anniversary Date:

Children Names and Ages (if applicable):

Church Background

Are you a partner of First Christian Church?
*

Yes No

How long have you been a member?

How long have you been attending FCC?

How many Sunday Worship Services do you typically attend each month?
*

1-2 2-3 Every Week.

Which Sunday service do you normally attend?
*

9:30a 11:00a

Have you ever served in any ministries at FCC?
*

Yes No

Which ministries and how long?

Spiritual Information

Have you accepted Jesus Christ as your Lord and Savior?
*

Yes No

Have you been baptized?
*

Yes No

When and how did you become a Christian?
*

Describe the difference in your life before you met Christ and now that you know Him:
*

How would you describe your current spiritual life? (Check all that apply)
*

Neglected Boring Mediocre Growing Flourishing

What have you been doing intentionally to grow?
*

Leadership Experience

Have you ever been in a leadership position?
*

Yes No

Please explain:

Have you ever led a small group?
*

Yes No

Please explain:

Have you ever had to recruit and lead a team to accomplish a goal?
*

Yes No

Please explain:

Temperament

Tell us about your preferences and personality. Please drag the mouse to rate your personal observations about yourself and your preferences on the following 1-10 scales.

Introverted

Extroverted

Routine

Variety

Feeler

Thinker

Behind the Scenes

Up Front

Work with Individuals

Lead a Group or Crowd

People-oriented

Task-oriented

Please select the four words that BEST describe you:

Please select the four words that LEAST describe you:

Please list any personal weaknesses or areas where you recognize a need to grow:
*

Indicate your top three spiritual gifts (Number 1-3, 1 being the highest):

Legal and Lifestyle Questionnaire

Because of our radical commitment to Jesus and our to students, we unapologetically seize every opportunity to make the conditions right so students can grow spiritually, emotionally, and numerically. The following questions are not ones that we like to ask but ones we need to ask in order to continue to protect the emotional and spiritual environment of the Student Ministry. If you answer "yes" to any of the following questions, please explain your answer. We recognize that we are all a work in progress. Answering "yes" to some of these questions does not necessarily disqualify you from serving with students. But we will talk through them in your next step.

Do you have any medical conditions that might be hazardous to others?
*

Yes No

Please explain:

Have you ever been accused or convicted of possession or sales of controlled substances or of driving under the influence of alcohol or drugs?
*

Yes No

Please explain:

Are you currently using any illegal substances?
*

Yes No

Please explain:

Have you ever been arrested or convicted for any criminal act more serious than a traffic violation?
*

Yes No

Please explain:

Do you have any addictictions? (i.e. alcohol, tobacco, vaping, pornography, etc.)
*

Yes No

Please explain:

Are you currently involved in a sexual relationship with someone you are not married to?
*

Yes No

Have you, at any time, been involved in or accused, rightly or wrongly, of sexual abuse, misconduct, or harassment?
*

Yes No

Please explain:

Have you ever been involved romantically or sexually with any student, or had sexual relations with any minor after you became an adult?
*

Yes No

Please explain:

Have you ever been a victim of any form of child abuse?
*

Yes No

Would you be willing to share this confidentially with a pastor?

Yes No

Have you ever been asked to step away from any ministry or work with students or children in any setting, paid or volunteer?
*

Yes No

Please explain:

Is there anything about your current or past life that might be a problem if we found out about it later?
*

Yes No

Please explain:

Why do you desire to be a student ministry leader?

Tell us why you feel led to become a part of the Student Ministry team at FCC:
*

What age group of students do you hope to serve with?
*

Middle School High School Wherever I'm Needed

References

Please list two people who could be character references for you. Please do not list family members of FCC staff as references.

Name
*

First Name Last Name

Phone Number
*

-
Area Code Phone Number

Name
*

First Name Last Name

Phone Number
*

-
Area Code Phone Number

Background Check Information

In accordance with church policy, all of our StudentLife volunteers will be background checked in order to ensure that we are providing for the safety and integrity of our students and our ministry in every way possible. We want to be as diligent as possible to protect our students, volunteers, and families. The results of your background check will be kept confidential.

Social Security Number:
*

Driver's License Number:
*

Driver's License Issuing State:
*

Waiver and Release

WAIVER AND RELEASE I, the undersigned, give my authorization to First Christian Church representatives - hereinafter referred to as "The Church" - to verify the information given by me on this application form. The Church may contact appropriate government agencies as deemed necessary in order to verify my suitability as a church youth / student ministry worker. I understand that this will include a criminal records check for arrests, convictions, or other information the local, state, or federal criminal enforcement agencies may have regarding me, and I release such information to the following: First Christian Church 6900 Market Avenue N. North Canton, OH 44721 330.456.2600 I am willing to request and submit to The Church background reports on myself from the (state) Department of Social Services central registry. I release The Church and aforementioned agencies from any liability or damages resulting from the acquisition of this information. I waive any present or future claims of privacy resulting from this information for qualifications of volunteer work with First Christian Church. The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give The Church any information (including opinions) that they may have regarding my character and fitness for youth ministry service. In consideration of the receipt and evaluation of this application by The Church, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature that may at any time result to me, my heirs, or family, because of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. Should my application be accepted, I agree to be bound by the constitution, statement of faith, and policies of The Church and to refrain from conduct unbecoming to Christ in the performance of by services on behalf of The Church. If I violate these guidelines, I understand that my volunteer status may be suspended or terminated at any time and without warning. By signing this application, I state that all of the information given about myself is true. I further state that I have carefully read the foregoing release and know the contents thereof, and I sign this release as my own act. This is a legally binding agreement which I have read and understand.